Larissa Lillian Lafavor, in West Bend, WI - Medicare Speech-Language Pathologist Provider

Larissa Lillian Lafavor, is a medicare enrolled "Speech-language Pathologist" provider in West Bend, Wisconsin. Her current practice location is 1700 W Paradise Dr, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 334-3451.

Larissa Lillian Lafavor is licensed to practice in Wisconsin (license number 5108-154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952990848.

Contact Information

	Larissa Lillian Lafavor,
	1700 W Paradise Dr, West Bend, WI 53095-9795
	(262) 334-3451
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larissa Lillian Lafavor
Gender	Female
Speciality	Speech-language Pathologist
Location	1700 W Paradise Dr, West Bend, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952990848
Provider Enumeration Date: 01/14/2021
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5991163271
Enrollment ID: I20230619000399

Medical Identifiers

Medical identifiers for Larissa Lillian Lafavor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952990848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5108-154 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larissa Lillian Lafavor allows following entities to bill medicare on her behalf.

Provider Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Lillian Lafavor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larissa Lillian Lafavor, 1900 American Eagle Dr, Slinger, WI 53086-9043 Ph: () -	Larissa Lillian Lafavor, 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451

Reviews and Comments

Speech-Language Pathologist in West Bend, WI

Mrs. Amy Monday, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 533 S 17th Ave, West Bend, WI 53095 Phone: 262-707-1627
Rachael Trawicki, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 620 Schoenhaar Dr, West Bend, WI 53090 Phone: 262-306-8450
Reynolds Speech & Language Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1315 Royal Dr, West Bend, WI 53090 Phone: 305-725-9300
Mrs. Pam Jean Grefsheim, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 540 Shepherds Dr, West Bend, WI 53090 Phone: 262-306-8450 Fax: 262-306-8451
Danielle Jacqueline Creegan, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 620 Schoenhaar Dr, West Bend, WI 53090 Phone: 262-306-8450
Ashley Marie Kane, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 540 Shepherds Dr, West Bend, WI 53090 Phone: 262-306-8450 Fax: 262-306-8451
Mrs. Theresa Marie Smith, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 620 Schoenhaar Dr, West Bend, WI 53090 Phone: 262-306-8450 Fax: 262-306-8451

Larissa Lillian Lafavor, - Medicare Speech-Language Pathologist in West Bend, WI